Medication - Licensed Independent Practitioner Controlled - Pharmacy Review

When medications are administered under Licensed Independent Practitioner (LIP) control, must there be a retrospective pharmacy review when the pharmacy is open?  

Any examples are for illustrative purposes only. 

No. Per MM 05.01.01 EP 1, retrospective review is not required when medications are ordered, prepared, and administered under LIP control. Organizations should, however, consider the requirements at MM 08.01.01 in evaluating it's medication management system and assess risk points by randomly sampling and reviewing LIP controlled orders for the items listed at MM.05.01.01 EP 4.
Last updated on June 25, 2020
Manual: Hospital and Hospital Clinics
Chapter: Medication Management MM

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form